摘要
目的研究床旁连续性血液净化治疗重症急性胰腺炎患者的护理方法及效果。方法选取2016年1月~2019年12月我院诊治的42例重症急性胰腺炎患者为研究对象,均采用床旁连续性血液净化治疗,应用随机数字表法分为对照组和观察组各21例。对照组采用常规护理,观察组依据床旁连续性血液净化治疗重点实施针对性护理干预,比较两组腹痛消退时间、血清淀粉酶(AMY)和C-反应蛋白(CRP)恢复正常时间、护理前后炎症指标(IL-6、IL-18)改善情况、非计划性拔管率、护理满意度以及并发症发生情况。结果观察组临床腹痛消退时间、AMY和CRP恢复正常时间均短于对照组,差异有统计学意义(P<0.05);护理后两组炎性指标IL-6、IL-18均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组意外拔管率低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为9.52%,低于对照组的19.04%,差异有统计学意义(P<0.05)。结论床旁连续性血液净化治疗重症急性胰腺炎患者针对性护理干预,有助于缩短临床腹痛消退时间,促进AMY和CR恢复,降低炎症因子水平。同时可预防非计划性拔管和并发症的发生,促进连续血液净化治疗的顺利进行。
Objective To study the nursing method and effect of continuous blood purification at the bedside for patients with severe acute pancreatitis.Methods A total of 42 patients with severe acute pancreatitis diagnosed and treated in our hospital from January 2016 to December 2019 were selected as the research objects.All patients were treated with continuous blood purification at the bedside,and were divided into 21 cases in the control group and the observation group by random number table method.The control group adopts routine nursing care,and the observation group implements targeted nursing interventions based on continuous blood purification treatment at the bedside.Comparison of abdominal pain resolution time,serum amylase(AMY)and C-reactive protein(CRP)return to normal time between the two groups,the improvement of inflammation indicators(IL-6,IL-18)before and after nursing,the rate of unplanned extubation,nursing satisfaction,and the occurrence of complications.Results The clinical abdominal pain resolution time and the time for AMY and CRP to return to normal in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05);the inflammatory indexes IL-6 and IL-18 of the two groups after nursing were lower than those before nursing.And the observation group was lower than the control group,the difference was statistically significant(P<0.05);the observation group's accidental extubation rate was lower than the control group,and the nursing satisfaction was higher than the control group,the difference was statistically significant(P<0.05);The complication rate in the group was 9.52%,which was lower than 19.04%in the control group,the difference was statistically significant(P<0.05).Conclusion The targeted nursing intervention for patients with severe acute pancreatitis treated by bedside continuous blood purification could help shorten the time for clinical abdominal pain to resolve,promote the recovery of AMY and CR,and reduced the level of inflammatory
作者
陈勃宇
许程飞
CHEN Bo-yu;XU Cheng-fei(Department of Critical Care Medicine,Tianjin Third Central Hospital,Tianjin 300170,China)
出处
《医学信息》
2020年第21期174-175,178,共3页
Journal of Medical Information
关键词
床旁
连续性血液净化
重症
急性胰腺炎
Bedside
Continuous blood purification
Severe illness
Acute pancreatitis
